| NPI | 1750743209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT0000000954) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119002067) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KY KY-R2188) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |